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General NPI Number Information
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NPI Number | 1790921690
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Entity Type | Organization
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Legal Business Name | AMARA HOME MEDICAL
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 1367 FAIRWAY CIR
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City | FARMINGTON
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State | UT
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Zip | 84025-2804
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Country | US
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Telephone | 801-592-8668
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Fax |
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Provider Business Mailing Address
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Address Line | 1367 FAIRWAY CIR
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City | FARMINGTON
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State | UT
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Zip | 84025-2804
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Country | US
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Telephone | 801-592-8668
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JEFFREY DAVID BEAL
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Credential |
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Telephone | 801-809-8908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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